Billing Claims Specialist

Paycom; Boca Raton (FL); On-site; USD 30,000 - 33,000; Full time

Benefits offered by this job

401(k) matching

Health Insurance

Dental insurance

Vision insurance

Life insurance

Paid time off

Remote

Job summary

Remedial Pro in Boca Raton, FL seeks a Charge Entry / Billing Specialist to handle behavioral health billing duties, including entering charges, rebilling, and resubmitting denials in a fast-paced setting.

Ideal candidates bring 3+ years of experience in substance abuse or mental health billing, proficiency with UB04 and HCFA-1500 forms, and familiarity with EHR/billing platforms such as MedTrainer, CollaborateMD or Sunwave; strong attention to detail and teamwork are essential.

Qualifications

• 3+ years of charge entry and billing experience in behavioral health/substance use settings
• Proven experience with rebilling and corrected claims submission
• Experience working a denied/ rejected claims queue, researching, correcting, and resubmitting denials
• Familiarity with UB04 (institutional) and HCFA-1500 (professional) forms
• Experience submitting both new and corrected claims
• Knowledge of CPT, ICD-10, and HCPCS coding related to behavioral health billing
• Understanding payer-specific billing requirements and denial codes
• Experience with insurance verification and appeals processes

Skills

Charge entry

Billing

Denials research

Time management

Tools

MedTrainer

CollaborateMD

Sunwave

Job description

Job Details: Job Location: REMEDIAL PRO - Boca Raton, FL, Salary Range: $22.00 - $24.00Hourly, About Remedial Pro

Remedial Pro specializes in behavioral health revenue cycle management, providing medical billing, collections, insurance verification, and utilization review services for substance abuse and mental health treatment providers. Our mission is to help healthcare organizations maximize revenue, improve efficiency, and focus on delivering exceptional patient care.

Charge Entry / Billing Specialist

Behavioral Health & Substance Abuse Billing

Required Experience & Qualifications

• 3+ years of experience in charge entry and billing specifically within substance abuse and/or mental health/behavioral health settings
• Proven experience with rebilling and corrected claims submission
• Hands-on experience working a rejected claims work queue, including researching, correcting, and resubmitting denials
• Proficiency with both UB04 (institutional) and HCFA-1500 (professional) claim forms
• Experience submitting both new (original) claims and corrected claims
• Working knowledge of payer-specific billing requirements and claim rejection/denial codes
• Familiarity with EHR/billing software systems (e.g., MedTrainer, CollaborateMD, Sunwave, etc.)
• Understanding of insurance verification, claim timely filing limits, and appeals processes
• Knowledge of CPT, ICD-10, and HCPCS coding as it relates to behavioral health/SUD billing

Preferred Qualifications

• Experience with Medicaid billing rules for behavioral health services
• Familiarity with commercial payer portals for claims status and appeals

Soft Skills

• Adaptability — comfortable shifting priorities in a fast-paced, high-volume environment
• Attention to detail — accuracy is critical when correcting and resubmitting claims
• Problem-solving mindset — able to research root causes of rejections rather than just resubmitting
• Strong written and verbal communication — for coordinating with payers, providers, and internal teams
• Time management — able to prioritize and manage a queue of claims against deadlines
• Resilience and patience — persistence when dealing with repeated denials or complex payer requirements
• Team player — willing to support colleagues during high-volume periods

Benefits

• 401(k) matching
• Health Insurance
• Dental insurance
• Vision insurance
• Life insurance
• Paid time off
• Remote